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Infant Wellness Visit, New Patient

Nebraska rates for HCPCS 99381

This is a comprehensive preventive checkup for an infant under one year old who is new to the practice, including a physical exam, growth check, and guidance for parents on feeding, development, and safety. It is a routine wellness visit rather than a visit for a specific illness.

Rates data updated July 2026.

How much does Infant Wellness Visit, New Patient cost?

$107

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $117 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$87.10 to $170
FacilityA hospital or hospital-owned outpatient department$117$85.11 to $155

How much rates vary

Facilitymedian $117 · 10th to 90th $66 to $200Professionalmedian $107 · 10th to 90th $63 to $229
$50$100$200$500facility $117professional $107

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$147.91
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$223.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$169.82
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$0.11
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$263.03

Where Nebraska sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 25th of 51

$107

MN $182DE $87.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.